Provider Demographics
NPI:1053440453
Name:WYNDER, RHONDA DANIELS (MPAS, PA-C)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:DANIELS
Last Name:WYNDER
Suffix:
Gender:F
Credentials:MPAS, PA-C
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Mailing Address - Street 1:1426A 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT KNOX
Mailing Address - State:KY
Mailing Address - Zip Code:40121-2294
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:JFHQ MEDICAL COMMAND
Practice Address - Street 2:BLDG 306
Practice Address - City:FORT PICKETT
Practice Address - State:VA
Practice Address - Zip Code:23824
Practice Address - Country:US
Practice Address - Phone:434-292-5548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-04
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical